Research Article
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Year 2020, Volume: 6 Issue: 1, 37 - 44, 30.04.2020
https://doi.org/10.19127/mbsjohs.689132

Abstract

Supporting Institution

Herhangi bir kurumdan destek alınmamıştır.

References

  • Akaltun H, Ersin F. Determination of diabetes attitudes and behaviors of diabetic patients receiving home care services. DEUHFED 2016; 9(4), 126-133.
  • Akar Z, Bebis H, Ozdemir S. The Relationship between some sociodemographic features and health beliefs of diabetic patients. Journal of The Ege University Nursing Faculty 2014; 30(3): 32-46.
  • Akgun Sahin Z. The attitude of patients with diabetes type 2 and the correlation between the problem fields ODU Journal of Medicine 2015; 2(3): 134-138.
  • Akman H, Olgun N. Experience of adult individuals with Type 2 diabetes about diabetes: A qualitative study. International Diabetes Nursing 2016; 13(1-3): 29-36.
  • Alyaarubi S. Diabetes care in Oman: Obstacles and Solutions. Sultan Qaboos University Medical Journal 2011; 11(3): 343.
  • Arda Surucu H, Samancioglu S. Predictors of negative insulin treatment perception in individuals with type 2 diabetes. Turkey J Nurs Clinical Sci 2018; 10(2): 130-7.
  • Austin MM. Diabetes Educators: partners in diabetes care and management. Endocrine Practice 2006; 12(1): 138-141.
  • Avci YD, Gozum S. Health service delivery models and tele-health for the elderly living in rural areas. TJFMPC 2018; 12(1): 56-67.
  • Celik S, Pinar R. Insulin Injection and Finger Sticking Fear in People with Diabetes. Journal of Psychiatric Nursing 2014; 5(2): 104-108.
  • Cimo A, Dewa CS. Symptoms of mental illness and their impact on managing type 2 diabetes in adults. Can J Diabetes 2018; 42(4): 72-381. doi: 10.1016/j.jcjd.2017.08.256.
  • Egan AM, Mahmood WAW, Fenton R, Redziniak N, Kyaw Tun T, Sreenan S, & McDermott JH. Barriers to exercise in obese patients with type 2 Diabetes. QJM: An International Journal of Medicine 2013; 106(7): 635-638.
  • Gedik S. The level of diabetes management self-efficacy in patients with type 2 diabetes mellitus living in rural areas. Konya: Selcuk University Institute of Health Sciences. 2016.
  • Gunal A, Baskurt F, Baskurt Z, Parpucu Tİ, & Yucekaya B. Relationship between perception of handicap and functional disability in elderly patients with type II diabetes. SDU Journal of Health Science Institute 2012; 3(1): 31-35.
  • Hassan A, Tohid H, Amin RM, Bidin MBL, Muthupalaniappen L, Omar K. Factors influencing insulin acceptance among type 2 diabetes mellitus patients in a primary care clinic: a qualitative exploration. BMC Family Practice 2013; 14: 164.
  • International Diabetes Federation (IDF) Diabetes Atlas 8th Edition. 2017. [cited 2020 Jan 13] Available from: URL: http://diabetesatlas.org/resources/2017-atlas.html.
  • Kahraman G, Gungor Tavsanli N, Baydur H, Ozmen D, Ozmen E. The validity and reliability study of the diabetes obstacles questionnaire scale in type-2 diabetes patients. Anadolu Psychiatry Journal 2016; 17(1): 33-4.
  • Kara K, Cinar S. The relation between diabetes care profile and metabolic control variables. Caucasian J Med Sci 2011; 1(2): 57-63.
  • Laranjo L, Neves AL, Costa A, Ribeiro RT, Couto L, Sá AB. Facilitators, barriers and expectations in the self-management of type 2 diabetes-a qualitative study from Portugal. European Journal of General Practice 2015; 21(2): 103-110. Mansyur CL, Rustveld LO, Nash SG, Jibaja-Weiss ML. Social factors and barriers to self-care adherence in hispanic men and women with diabetes. Patient Education and Counseling 2015; 98(6): 805-810.
  • Marcy TR, Britton ML, Harrison D. Identification of barriers to appropriate dietary behavior in low-income patients with type 2 diabetes mellitus. Diabetes Therapy 2011; 2(1): 9-19.
  • Olgun N, Celik S. The Endocrine System and Related Disorders. Eti Aslan F, Olgun N, editors. Physiopathology. Ankara: Akademisyen Bookstore; 2017. p. 451-452.
  • Olgun N, Eti Aslan F, Cosansu G, Celik S. Diabetes Mellitus. Karadakovan A, Eti Aslan F, editors. Care in Internal and Surgical Diseases, Enhanced 3. rd Edition. Ankara: Akademisyen Bookstore; 2014. p. 779.
  • Ong WM, Chua SS, Ng CJ. Barriers and Facilitators to Self-Monitoring of Blood Glucose in People with Type 2 Diabetes Using Insulin: A Qualitative Study. Patient Prefer Adherence 2014; 8: 237-46.
  • Orhan B, Gulseven Karabacak B. Assciation Between Cognitive and Social Factors and Metabolic Control Parameters in Patients with Type 2 Diabetes. Clin Exp Health Sci 2016; 6(1): 1-8.
  • Patel N, Stone MA, McDonough C, Davies MJ, Khuntiand K, Eborall H. Concerns and perceptions about necessity in relation to insulin therapy in an ethnically diverse uk population with type 2 diabetes: A qualitative study focusing mainly on people of south asian origin. Diabet. Med., 2015; 32: 635-644.
  • Pilv L, Vermeire E, Rätsep A, Moreau A, Nikolić D, Petek D, Yaman H, Oona M, Kalda R. Development and validation of the short version of the diabetes obstacles questionnaire (DOQ-30) in Six European Countries. Eur J Gen Pract 2016; 22(1): 16-22. doi: 10.3109/13814788.2015.1093619.
  • Rhee MK, Cook CB, El-Kebbi I, Lyles RH, Dunbar VG, Panayioto RM, & George CD. barriers to diabetes education in urban patients’ perceptions, patterns, and associated factors. The Diabetes Educator 2005; 31(3): 410-417.
  • Ross S, Benavides-Vaello S, Schumann L, Haberman M. Issues That Impact Type-2 Diabetes Self-Management in Rural Communities. Journal of the American Association of Nurse Practitioners 2015; 27(11): 653-660. Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, ... & Shaw JE. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from The International Diabetes Federation Diabetes Atlas. Diabetes and Research Clinical Practice 2019; 157: 107843. Available from: https://doi.org/10.1016/j.diabres.2019.107843
  • Samancioglu S. Diseases of the Endocrine System and Nursing Management. Ovayolu N, Ovayolu O editors.. The Fundaments of Internal Diseases Nursing and Chronic Diseases and their Different Aspects. Adana: Nobel Medical Bookstore 2016. p. 336.
  • Schwarzer R, Fuchs R. Changing Risk Behaviors and Adopting Health Behaviors: The Role of Self-Efficacy Beliefs. Self-Efficacy in Changing Societies 1995; 259: 288.
  • Tiktin M, Celik S, Berard L. Understanding adherence to medications in type 2 diabetes care and clinical trials to overcome barriers: A narrative review. Current Medical Research and Opinion 2016; 32(2): 277-287.
  • Tol A, Majlessi F, Rahimi FA, Shojaeezadeh D, Mohebbi B. Factors associated with supportive and coping obstacles of adjustment with type II diabetes. Journal of Health System Research 2012; 8(6): 1088-97.
  • Uchenna O, Ijeoma E, Pauline E, Sylvester O. Contributory factors to diabetes dietary regimen nonadherence in adults with diabetes. World Acad Sci Eng Technol 2010; 4(9): 644-51.
  • Uren Y, Yilmaz Karabulutlu E. Investigating the Factors that Complicate Diabetes Control in Patients with Type 2 Diabetes. HSP 2018;5(3): 376-386.
  • Whittemore R. Strategies to facilitate lifestyle change associated with diabetes mellitus. Journal of Nursing Scholarship 2004; 32(3): 225-232.
  • World Health Organization (WHO) The top 10 causes of death. 2018. [cited 2020 Jan 13] Available from: URL: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death

Determining the Obstacles of Type 2 Diabetes Patients

Year 2020, Volume: 6 Issue: 1, 37 - 44, 30.04.2020
https://doi.org/10.19127/mbsjohs.689132

Abstract

Objective: This study was carried out to identify the obstacles faced by Type 2 diabetes patients.
Methods: The study was conducted in the descriptive type and included 112 patients hospitalized in the internal medicine clinics of the Ondokuz Mayıs University Health Practices and Research Hospital. The descriptive form and the "Diabetes Obstacles Questionnaire in Type-2 Diabetes Patients" were used in the study. As the average score obtained in the subscales of the questionnaire rises, the level of obstacles related to that area felt by patients increases.
Results: Of the patients who participated in the study, 60.7% were women, 53.6% were housewives, 48.2% were primary school graduates, 27.7% lived in districts and 92% reported the presence of at least one chronic disease other than diabetes. It was identified that 54.5% of the patients had been diagnosed with diabetes for 11 years and longer, 50.9% had received diabetes education, 72.3% had relatives with diabetes, 64.3% used oral antidiabetics and 72.3% received insulin treatment. Among the patients, 35.7% stated that the hardest aspect of diabetes was "following a diabetic diet". Among the subscales of the Diabetes Obstacles Questionnaire, the lowest average score was -0.34 in the obstacles in "receiving advice and support" subscale, and the highest average score was 0.34 in the "obstacles in coping with diabetes" subscale
Conclusion: The fact that 7 of the 8 subscales of the diabetes obstacles questionnaire had negative averages in the study indicates that the patients’ perception of obstacles in these areas was low. The only subscale with a positive average was the "barriers in coping with diabetes" subscale and the patients’ perception of obstacles related to this area was higher. Based on the findings, it is recommended to increase the accessibility of diabetes education and the rate of receiving diabetes education, and that educated patients be re-evaluated periodically by the diabetes education nurse.

References

  • Akaltun H, Ersin F. Determination of diabetes attitudes and behaviors of diabetic patients receiving home care services. DEUHFED 2016; 9(4), 126-133.
  • Akar Z, Bebis H, Ozdemir S. The Relationship between some sociodemographic features and health beliefs of diabetic patients. Journal of The Ege University Nursing Faculty 2014; 30(3): 32-46.
  • Akgun Sahin Z. The attitude of patients with diabetes type 2 and the correlation between the problem fields ODU Journal of Medicine 2015; 2(3): 134-138.
  • Akman H, Olgun N. Experience of adult individuals with Type 2 diabetes about diabetes: A qualitative study. International Diabetes Nursing 2016; 13(1-3): 29-36.
  • Alyaarubi S. Diabetes care in Oman: Obstacles and Solutions. Sultan Qaboos University Medical Journal 2011; 11(3): 343.
  • Arda Surucu H, Samancioglu S. Predictors of negative insulin treatment perception in individuals with type 2 diabetes. Turkey J Nurs Clinical Sci 2018; 10(2): 130-7.
  • Austin MM. Diabetes Educators: partners in diabetes care and management. Endocrine Practice 2006; 12(1): 138-141.
  • Avci YD, Gozum S. Health service delivery models and tele-health for the elderly living in rural areas. TJFMPC 2018; 12(1): 56-67.
  • Celik S, Pinar R. Insulin Injection and Finger Sticking Fear in People with Diabetes. Journal of Psychiatric Nursing 2014; 5(2): 104-108.
  • Cimo A, Dewa CS. Symptoms of mental illness and their impact on managing type 2 diabetes in adults. Can J Diabetes 2018; 42(4): 72-381. doi: 10.1016/j.jcjd.2017.08.256.
  • Egan AM, Mahmood WAW, Fenton R, Redziniak N, Kyaw Tun T, Sreenan S, & McDermott JH. Barriers to exercise in obese patients with type 2 Diabetes. QJM: An International Journal of Medicine 2013; 106(7): 635-638.
  • Gedik S. The level of diabetes management self-efficacy in patients with type 2 diabetes mellitus living in rural areas. Konya: Selcuk University Institute of Health Sciences. 2016.
  • Gunal A, Baskurt F, Baskurt Z, Parpucu Tİ, & Yucekaya B. Relationship between perception of handicap and functional disability in elderly patients with type II diabetes. SDU Journal of Health Science Institute 2012; 3(1): 31-35.
  • Hassan A, Tohid H, Amin RM, Bidin MBL, Muthupalaniappen L, Omar K. Factors influencing insulin acceptance among type 2 diabetes mellitus patients in a primary care clinic: a qualitative exploration. BMC Family Practice 2013; 14: 164.
  • International Diabetes Federation (IDF) Diabetes Atlas 8th Edition. 2017. [cited 2020 Jan 13] Available from: URL: http://diabetesatlas.org/resources/2017-atlas.html.
  • Kahraman G, Gungor Tavsanli N, Baydur H, Ozmen D, Ozmen E. The validity and reliability study of the diabetes obstacles questionnaire scale in type-2 diabetes patients. Anadolu Psychiatry Journal 2016; 17(1): 33-4.
  • Kara K, Cinar S. The relation between diabetes care profile and metabolic control variables. Caucasian J Med Sci 2011; 1(2): 57-63.
  • Laranjo L, Neves AL, Costa A, Ribeiro RT, Couto L, Sá AB. Facilitators, barriers and expectations in the self-management of type 2 diabetes-a qualitative study from Portugal. European Journal of General Practice 2015; 21(2): 103-110. Mansyur CL, Rustveld LO, Nash SG, Jibaja-Weiss ML. Social factors and barriers to self-care adherence in hispanic men and women with diabetes. Patient Education and Counseling 2015; 98(6): 805-810.
  • Marcy TR, Britton ML, Harrison D. Identification of barriers to appropriate dietary behavior in low-income patients with type 2 diabetes mellitus. Diabetes Therapy 2011; 2(1): 9-19.
  • Olgun N, Celik S. The Endocrine System and Related Disorders. Eti Aslan F, Olgun N, editors. Physiopathology. Ankara: Akademisyen Bookstore; 2017. p. 451-452.
  • Olgun N, Eti Aslan F, Cosansu G, Celik S. Diabetes Mellitus. Karadakovan A, Eti Aslan F, editors. Care in Internal and Surgical Diseases, Enhanced 3. rd Edition. Ankara: Akademisyen Bookstore; 2014. p. 779.
  • Ong WM, Chua SS, Ng CJ. Barriers and Facilitators to Self-Monitoring of Blood Glucose in People with Type 2 Diabetes Using Insulin: A Qualitative Study. Patient Prefer Adherence 2014; 8: 237-46.
  • Orhan B, Gulseven Karabacak B. Assciation Between Cognitive and Social Factors and Metabolic Control Parameters in Patients with Type 2 Diabetes. Clin Exp Health Sci 2016; 6(1): 1-8.
  • Patel N, Stone MA, McDonough C, Davies MJ, Khuntiand K, Eborall H. Concerns and perceptions about necessity in relation to insulin therapy in an ethnically diverse uk population with type 2 diabetes: A qualitative study focusing mainly on people of south asian origin. Diabet. Med., 2015; 32: 635-644.
  • Pilv L, Vermeire E, Rätsep A, Moreau A, Nikolić D, Petek D, Yaman H, Oona M, Kalda R. Development and validation of the short version of the diabetes obstacles questionnaire (DOQ-30) in Six European Countries. Eur J Gen Pract 2016; 22(1): 16-22. doi: 10.3109/13814788.2015.1093619.
  • Rhee MK, Cook CB, El-Kebbi I, Lyles RH, Dunbar VG, Panayioto RM, & George CD. barriers to diabetes education in urban patients’ perceptions, patterns, and associated factors. The Diabetes Educator 2005; 31(3): 410-417.
  • Ross S, Benavides-Vaello S, Schumann L, Haberman M. Issues That Impact Type-2 Diabetes Self-Management in Rural Communities. Journal of the American Association of Nurse Practitioners 2015; 27(11): 653-660. Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, ... & Shaw JE. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from The International Diabetes Federation Diabetes Atlas. Diabetes and Research Clinical Practice 2019; 157: 107843. Available from: https://doi.org/10.1016/j.diabres.2019.107843
  • Samancioglu S. Diseases of the Endocrine System and Nursing Management. Ovayolu N, Ovayolu O editors.. The Fundaments of Internal Diseases Nursing and Chronic Diseases and their Different Aspects. Adana: Nobel Medical Bookstore 2016. p. 336.
  • Schwarzer R, Fuchs R. Changing Risk Behaviors and Adopting Health Behaviors: The Role of Self-Efficacy Beliefs. Self-Efficacy in Changing Societies 1995; 259: 288.
  • Tiktin M, Celik S, Berard L. Understanding adherence to medications in type 2 diabetes care and clinical trials to overcome barriers: A narrative review. Current Medical Research and Opinion 2016; 32(2): 277-287.
  • Tol A, Majlessi F, Rahimi FA, Shojaeezadeh D, Mohebbi B. Factors associated with supportive and coping obstacles of adjustment with type II diabetes. Journal of Health System Research 2012; 8(6): 1088-97.
  • Uchenna O, Ijeoma E, Pauline E, Sylvester O. Contributory factors to diabetes dietary regimen nonadherence in adults with diabetes. World Acad Sci Eng Technol 2010; 4(9): 644-51.
  • Uren Y, Yilmaz Karabulutlu E. Investigating the Factors that Complicate Diabetes Control in Patients with Type 2 Diabetes. HSP 2018;5(3): 376-386.
  • Whittemore R. Strategies to facilitate lifestyle change associated with diabetes mellitus. Journal of Nursing Scholarship 2004; 32(3): 225-232.
  • World Health Organization (WHO) The top 10 causes of death. 2018. [cited 2020 Jan 13] Available from: URL: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death
There are 35 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research articles
Authors

Burak Arslan 0000-0002-4981-2806

Özlem Duman This is me 0000-0002-8522-3478

Afitap Özdelikara 0000-0002-5896-9207

Publication Date April 30, 2020
Published in Issue Year 2020 Volume: 6 Issue: 1

Cite

Vancouver Arslan B, Duman Ö, Özdelikara A. Determining the Obstacles of Type 2 Diabetes Patients. Mid Blac Sea J Health Sci. 2020;6(1):37-44.

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